Smith, Julie Ann
Smith, Julie Ann is an individual health care provider with primary practice located at 8931 Se Foster Rd , Portland OR 97266-4661. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Smith, Julie Ann can be contacted via phone (855) 433-6825.Contact Information
Primary practice address
8931 Se Foster Rd
Portland OR 97266-4661
Phone: (855) 433-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS029168L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD28633 | Oregon |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D9062 | Oregon |
Profile Details
| NPI number | 1972588374 |
|---|---|
| LBN Legal business name | Smith, Julie Ann |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Nov 13th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972588374 | NPPES |
| Oregon | MEDICAID | 006844 | |
| Oregon | MEDICAID | 5055744 | |
| Oregon | MEDICAID | 808003900 |
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